Active NPIIndividual providerSole proprietor

Anisio Deoliveira, CCC-SLP

Speech-Language Pathologist, in Bayside, New York

NPI Number1447493176
Practice location
2901 216TH St, Bayside, NY 11360-2810
Fax
—
Last updated
April 10, 2009

Anisio Deoliveira is a Speech-Language Pathologist, based in Bayside, NY. Anisio Deoliveira practices in Bayside, NY and has the professional credentials of CCC-SLP. The NPI Number for Anisio Deoliveira is 1447493176 and holds a License No. 017335 (NY). The current practice location address for Anisio Deoliveira is 2901 216TH St, Bayside, NY 11360-2810 and can be reached out via phone at 718-281-8800.

Provider Profile Details

NPI Number
1447493176
Provider Name
Anisio Deoliveira
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Male
Address
2901 216TH St, Bayside, NY 11360-2810
Phone Number
718-281-8800
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 10, 2009
Last Update Date
April 10, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
2901 216TH St
Bayside, NY 11360-2810
Zip
11360-2810
Phone Number
718-281-8800
Bayside, NY 11360Get directions →

Provider Business Mailing Address Details

Address
78 Magazine St
Ap#2
Newark, NJ 07105-3476
City
Newark
State
NJ
Zip
07105-3476
Phone Number
917-770-3674

License Information

License Number
017335
License State
NY
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Anisio Deoliveira, CCC-SLP?

The NPI number of Anisio Deoliveira, CCC-SLP is 1447493176. It was assigned on April 10, 2009 and is currently active in the NPPES registry.

What is the specialty of Anisio Deoliveira, CCC-SLP?

Anisio Deoliveira, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 017335.

Where does Anisio Deoliveira, CCC-SLP practice?

The practice location is 2901 216TH St, Bayside, NY 11360-2810. The office can be reached at 718-281-8800 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447493176 directly on the NPPES registry website.

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